John Theodore Haretos
Geriatric Medicine
160 N Craig St
Pittsburgh
, Pennsylvania 15213-2716
John Theodore Haretos
Geriatric Medicine
160 N Craig St
Pittsburgh
, Pennsylvania 15213-2716
(412) 621-0878
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- John Theodore Haretos
- 160 N Craig St
- Pittsburgh, PA
- Zip : 15213-2716
- Fax : (412) 621-0878
- Phone : (412) 621-3431
Second Address
- John Theodore Haretos
- 160 N Craig St
- Pittsburgh, PA
- Zip : 15213-2716
- Fax : (412) 621-0878
- Phone : (412) 621-3431
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | MD028204E | PA |
National Provider Identifier
| NPI | 1114087160 |
|---|---|
| Provider Name | John Theodore Haretos |
| First Address | Pittsburgh, PA 15213-2716 |
| Second Address | Pittsburgh, PA 15213-2716 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0001006134 | (05) | PA |
| C31451 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.